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General NPI Number Information
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NPI Number | 1841998721
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Entity Type | Individual
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Provider Name | ELIZABETH LAMONTE
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Gender | Female
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Dates
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Enumeration Date | 02/20/2023
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 3073 WHITE MOUNTAIN HWY
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City | NORTH CONWAY
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State | NH
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Zip | 03860-7101
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Country | US
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Telephone | 603-356-5472
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Fax |
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Provider Business Mailing Address
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Address Line | 99 INTERVALE CROSS ROAD P.O. BOX 1222
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City | INTERVALE
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State | NH
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Zip | 03845
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Country | US
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Telephone | 203-570-9836
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2046
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License Number State | NH
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